Migraines are not all the same. People can have different symptoms and different triggers, but the misery and disruption they can cause is pretty consistent.
Another thing that many migraine sufferers have in common is an inability to process certain vitamins. Recent studies have revealed that people with migraines, especially with auras, are more likely to have genetic variations in the enzymes that activate folic acid. They are more likely to have elevated homocysteine, a compound that can be a marker for a lack of appropriate B vitamins that our nervous systems need. Elevated homocysteine can be toxic to nerve cells and is associated with increased risk of heart disease.
One still needs to determine and reduce migraine triggers, but there is hope that regular intake the active form folate, known as methyltetrahydrofolate or methylfolate, can reduce the sensitivity to those triggers. For people with this genetic variation, it is also important to avoid the common form of folic acid added to some supplements and many processed foods. And always take B12, again the methyl form of B12, when you take any form of folate.
I am already seeing good results with this approach with my patients. Just a month ago, I had a patient try a new product called Eye Folate, made by a local eye doctor that contains these vitamins plus others for nerve and eye health. Her recent report to me was, “I’ve essentially had no migraines since I started it! So it looks like it’s working, thank you!”
For many migraine sufferers, products like these could be an important part the solution to help prevent this common and debilitating issue.
Many people consider willow bark to be an herbal aspirin substitute. This is true for many of its actions, but there are some differences that are important to know about. The main commonality is that willow bark has analgesic and inflammation modulating effects that make it useful for pain. Willow bark is used for headaches and body pain. Studies have even shown it to be helpful for low back pain and osteoarthritis. Willow bark also can be a good choice when dealing with influenza. Willow bark shares aspirin’s ability to help reduce fevers. It can also reduce the body pain and headache associated with the flu.
Aspirin was not originally created from willow bark, but it could have been. Aspirin was derived from meadowsweet, a plant that contains salicylates just like willow bark does. Aspirin is acetylsalicylic acid, and the addition of this acetyl group gives aspirin its blood thinning capacity. Unlike aspirin, willow bark does not reduce the stickiness of platelets or thin the blood. Otherwise, they are very similar in their actions, but willow bark is less likely to irritate the stomach compared to aspirin. The liver activates the compounds in willow bark after they have been absorbed into the blood stream, so they are not present in the gastrointestinal tract to cause irritation. Because of this activation step, willow bark doesn’t work as quickly as aspirin. But once converted to the active form, it can be effective for several hours.
P.S. There is a connection between the last 15 herbs I have blogged about recently (except the posting on Medicinal Kitchen Spices). Extra credit to anyone who can tell me what it is.